BETH ANN DENNISTON (NPI# 1962065813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962065813 |
| Entity Type | Individual |
| Full Name | BETH ANN DENNISTON |
| Credential | MT |
| Practice Address |
341 S Lincoln St Apt 4 Bloomington IN 47401-2705 |
| Mailing Address |
4123 W Sierra Dr Bloomington IN 47403-5138 |
| Practice Telephone | 8123699910 |
| Mailing Telephone | 8123699910 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT21405186 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MASSAGE THERAPY | MT21405186 | 01 |
| Street Address |
341 S LINCOLN ST APT 4 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835242 | Malissa J Knobloch | Massage Therapist | 4 Yount Dr Ste 2, Bloomington, IL 61704-3737 | 2020-06-12 |
| 1326660671 | Aaron L Avalos | Massage Therapist | 303 Turnberry Dr Apt C, Bloomington, IL 61701-1484 | 2020-05-09 |
| 1164043113 | Gwenn None Marie | Massage Therapist | 2416 E Washington St Ste A9, Bloomington, IL 61704-1612 | 2020-04-30 |
| 1316589427 | Kayla Christine Whaley | Massage Therapist | 1713 N College Ave, Bloomington, IN 47404-2478 | 2019-10-09 |
| 1174172712 | Paulina M Makowska | Massage Therapist | 1713 N College Ave Ste 1, Bloomington, IN 47404-2479 | 2019-09-06 |
| 1730652488 | April Dawn Mccloud | Massage Therapist | 800 S College Ave Ste F, Bloomington, IN 47403-2565 | 2019-01-05 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1194104182 | Massage By Megan | Massage Therapist | 409 S Prospect Rd Ste A, Bloomington, IL 61704-4581 | 2015-05-22 |
| 1962746909 | Carol Mathewson | Massage Therapist | 11331 Louisiana Cir, Bloomington, MN 55438-2827 | 2012-11-15 |
| 1427304690 | Touchstone Wellness Center, Inc | Massage Therapist | 2864 E. Buick Cadillac Blvd, Bloomington, IN 47401 | 2012-07-25 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
Please comment or provide details below to improve the information on BETH ANN DENNISTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.